MCN 109 M2 Gestational exam with
complete solutions
• Pain in the lumbar area
• Nausea and vomiting
• Malaise
• Frequency in urination
• Fever
• Urine culture positive for over 100,000 organisms per ml of urine - ANSWER-
Signs and Symptoms of UTI
Hyperemesis Gravidarum - ANSWER- The condition is associated with
intrauterine growth restriction
E. Coli - ANSWER- Organism responsible for Urinary Tract Infection
• Primiparas younger than age 20 years or older than 40 years
• Women from a low socioeconomic background
• Women who have had five or more pregnancies
• Women of color
• Women with multiple pregnancy
• Women with underlying disease
• May be associated with poor calcium or magnesium intake - ANSWER- Pre-
disposing factors on Pregnancy-Induced Hypertension
Urinary Tract Infection - ANSWER- Occurs as a result of urinary stasis in ureters
that are dilated from the effect of progesterone.
Hyperemesis Gravidarum - ANSWER- Signs and Symptoms include:
Severe nausea and vomiting
• Elevated hematocrit
• Reduce serum levels of sodium, potassium and chloride
• Polyneuritis
• Weight loss
, • Urine positive for ketones
140 - ANSWER- OGTT Value after 3H
Pregnancy-Induced Hypertension - ANSWER- A systemic disorder affecting
almost all organs, is a complication of pregnancy that places the mother and
fetus at high risk for problems.
155 - ANSWER- OGTT Value after 2H
Decreased urine output and proteinuria - ANSWER- The kidney effects of
vasospasm include decreased glomeruli filtration rate, increased permeability of
glomeruli membrane, increased serum blood urea nitrogen, uric acid creatine
which leads to
180 - ANSWER- OGTT Value after 1H
Edema - ANSWER- The interstitial effects include diffusion of fluid from the blood
stream into interstitial tissue which leads to
95 - ANSWER- OGTT Fasting Value
Gestational Hypertension - ANSWER- • Blood pressure of 140/90 mmHg
• No proteinuria
• Glycosuria
• Thirst
• Polyuria
• Possible monilial infection
• Ketonuria
• Dizziness (if hypoglycemic)
• Confusion (if hyperglycemic)
• Serum glucose greater than 140 mg/dl with 1-hour glucose screening test
• Fasting serum glucose of 105 mg/dl or greater with 3-hour glucose tolerance
test; 1-hour serum glucose level of 190 mg/dl or greater with 3-hour glucose
tolerance test; 2-hour serum glucose level of 165 mg/dl or greater with 3-hour
glucose tolerance test; 3-hour serum glucose level of 145 mg/dl or greater with 3-
hour glucose tolerance test. - ANSWER- Signs and Symptoms of GDM
Mild preeclampsia - ANSWER- • Blood pressure of 140/90 mmHg
• Proteinuria 1+ to 2+ on a random sample
complete solutions
• Pain in the lumbar area
• Nausea and vomiting
• Malaise
• Frequency in urination
• Fever
• Urine culture positive for over 100,000 organisms per ml of urine - ANSWER-
Signs and Symptoms of UTI
Hyperemesis Gravidarum - ANSWER- The condition is associated with
intrauterine growth restriction
E. Coli - ANSWER- Organism responsible for Urinary Tract Infection
• Primiparas younger than age 20 years or older than 40 years
• Women from a low socioeconomic background
• Women who have had five or more pregnancies
• Women of color
• Women with multiple pregnancy
• Women with underlying disease
• May be associated with poor calcium or magnesium intake - ANSWER- Pre-
disposing factors on Pregnancy-Induced Hypertension
Urinary Tract Infection - ANSWER- Occurs as a result of urinary stasis in ureters
that are dilated from the effect of progesterone.
Hyperemesis Gravidarum - ANSWER- Signs and Symptoms include:
Severe nausea and vomiting
• Elevated hematocrit
• Reduce serum levels of sodium, potassium and chloride
• Polyneuritis
• Weight loss
, • Urine positive for ketones
140 - ANSWER- OGTT Value after 3H
Pregnancy-Induced Hypertension - ANSWER- A systemic disorder affecting
almost all organs, is a complication of pregnancy that places the mother and
fetus at high risk for problems.
155 - ANSWER- OGTT Value after 2H
Decreased urine output and proteinuria - ANSWER- The kidney effects of
vasospasm include decreased glomeruli filtration rate, increased permeability of
glomeruli membrane, increased serum blood urea nitrogen, uric acid creatine
which leads to
180 - ANSWER- OGTT Value after 1H
Edema - ANSWER- The interstitial effects include diffusion of fluid from the blood
stream into interstitial tissue which leads to
95 - ANSWER- OGTT Fasting Value
Gestational Hypertension - ANSWER- • Blood pressure of 140/90 mmHg
• No proteinuria
• Glycosuria
• Thirst
• Polyuria
• Possible monilial infection
• Ketonuria
• Dizziness (if hypoglycemic)
• Confusion (if hyperglycemic)
• Serum glucose greater than 140 mg/dl with 1-hour glucose screening test
• Fasting serum glucose of 105 mg/dl or greater with 3-hour glucose tolerance
test; 1-hour serum glucose level of 190 mg/dl or greater with 3-hour glucose
tolerance test; 2-hour serum glucose level of 165 mg/dl or greater with 3-hour
glucose tolerance test; 3-hour serum glucose level of 145 mg/dl or greater with 3-
hour glucose tolerance test. - ANSWER- Signs and Symptoms of GDM
Mild preeclampsia - ANSWER- • Blood pressure of 140/90 mmHg
• Proteinuria 1+ to 2+ on a random sample
